About This Form
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If you request an appointment you will be contacted when it has been booked for
you. You must ensure that you do not have a spam-blocker installed or any other kind
of software that will reject this automatic email.
If, for some reason, you are unable to keep the appointment phone the surgery and
cancel as soon as possible.
By using this form you will be sending information about yourself across the Internet.
Whilst every effort is made to keep this information secure, you should be aware
that we cannot offer any guarantees of absolute privacy. If this matter concerns
you then you should call the surgery to request an appointment.
Personal information retained on this system is stored in a secure data centre located
in the UK and is treated as confidential.